1. TIME REPORT
Employee Name: BRETT VAN BENSCHOTEN Employee No: 0645 Pay Period Ending: 4/15/2011
Pay Period / Day of the Month
Job Task & Suffix Pay 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total
Description of Job
Number Code 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Hours
6001-001-39
R Los Robles .5 .5 1. 1. .5 3.5
$45.00
6011-000-39
R Chino Valley .
$75.00
6012-000-39
R Pacific Alliance 1. 1.
$65.00
6013-000-39
R Tri-City .
$65.00
6014-000-39
R Montclair Hospital .
$75.00
6015-000-39
R Mem / Gardena .
$70.00
6018-000-39
R Motion Pictures .
$75.00
6022-000-39
R Hollywood Presb. 4. 4. 8.
$45.00
6024-000-39
R Coast Plaza .
$75.00
6025-000-39
R Greater El Monte .
$75.00
6915-000-39
R Citrus Valley 5. 5. 5. 5. 2. 5. 27.
$27.75
.
0530-000-00 R Holiday Pay .
0202-000-00 R Paid Time Off .
DAILY TOTALS & GRAND TOTAL HOURS 5. . . 4.5 .5 5. 1. 5. . . 6. . 5. 2. 5.5 . 39.5
By signing this timesheet, I hereby verify that I have taken all meal and rest breaks required under California State law.
Signature:_____________________________________ Date:______4/15/11__________Approval:___________________________ Date:__________________